Medical Forms, Health Insurance Claim Forms, CMS1500, UB92, Hospital Claim Forms

Samples of Route Slips

The following samples are used as examples of the Route Slips we have produced at If interested in receiving a quotation on any of the Sample Route Slips, please call customer service at 1-800-778-6247. Please reference the sample number you are interested in. Because of the many practice types and various code changes, we do not guarantee coding accuracy. It is the responsibility of the medical practice to verify all codes.A proof is always provided before all printing.
Acupuncture Acupuncture Dental #2Dental #2
Dermatology #1Dermatology #1Internal Medicine #1Internal Medicine #1
Internal Medicine #2Internal Medicine #2Internal Medicine #3Internal Medicine #3
Internal Medicine #4Internal Medicine #4Internal Medicine #5Internal Medicine #5
Ophthalmology #1Ophthalmology #1Ophthalmology #2Ophthalmology #2
Samples of Route Slips
Oral & Maxillofacial Surgery
Osteopathic Medicine #1Osteopathic Medicine #1
Pediatrics #1Pediatrics #1Physical Therapy #1Physical Therapy #1
Physical Therapy #2Physical Therapy #2Plastic Surgery #1Plastic Surgery #1
Plastic Surgery #2Plastic Surgery #2Podiatric Medicine #1Podiatric Medicine #1
Psychiatry #1Psychiatry #1Psychiatry #2Psychiatry #2
Data Business Systems
Check Printing-Software compatible | Check Printing-Blank Laser Stock | Check Printing - 3 to a Page Bank Checks | Check Printing - One Write Systems | Check Printing- Blank Pressure Seal | U-Seal Self mailer | Check Micr Printers | Check Printing - Deposit Tickets | Tax Forms-W2 | Tax Forms-1099 | Form-N-Envelope | Register Forms | Blank Plastic Membership Cards | One Write Cash Receipt System | One Write Rental Receipt System | One Write-Attorney Trust | One Write-Attorney Disbursements | One Write- Gift Certificate | Report Card Envelopes | School Forms-Custom Printed | Variable Imaging & Mail Services | Warehousing and Distribution | Blank Pre-perforated Paper | Pre-inserted Billing Envelopes | UB92 Insurance Claim Forms | UB92 Claim Envelopes | CMS1500 Insurance Claim Forms | CMS 1500 Claim Envelopes | Dental Claim Forms | Dental X-Ray Envelope | New Jersey Prescription Pads | California Prescription Pads | Security Prescriptions | HIPPA Sign in with removable labels | One Write HIPAA sign in system | LaserBand Hospital Patient Wristbands | Patient Valuables Envelope | Custom Receipt Books | Narcotic Control Sheets | Lab Mount Sheets | Appointment Reminder Card | Manila File Folders | Radiology Jackets | Check Printing | Label & Form Combo | Tax Forms | Receipt Books | Blank Sheeted Member Cards | Pressure Seal Forms | CMS1500 Claim Forms | Medical Claim Forms | Dental Forms | Prescription Pads | Healthcare Forms
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